Organization Active NPI

Elizabeth T. McRae MD

  • Specialist
  • Boerne, TX
National Provider Identifier
1427276765
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H5001 Issued in TX
Legal business name
ELIZABETH T. MCRAE MD
Practice address
117 S Saunders St
Boerne, TX 78006-2321
Phone
(830) 249-2600
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paula Artale
Title
Office Manager
Phone
(830) 249-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X H5001 TX Primary

Addresses

Primary practice location

117 S Saunders St
Boerne, TX 78006-2321

Mailing address

117 S Saunders St
Boerne, TX 78006-2321
Phone (830) 249-2600

Other identifiers 1

IdentifierTypeStateIssuer
00807224-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

117 S Saunders St
Boerne, TX 78006
Phone (830) 249-2600

117 S Saunders St
#1
Boerne, TX 78006
Phone (830) 249-2600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427276765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S SAUNDERS ST",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062321",
            "telephone_number": "830-249-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S SAUNDERS ST",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062321",
            "telephone_number": "830-249-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH T. MCRAE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARTALE",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "830-249-2600"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "H5001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00807224-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.